Missing Teeth

The replacement of missing teeth has undergone a dramatic change over the past 25 years with the introduction of dental implants.  Removable false teeth are a thing of the past. Facial changes caused by aging can be
reversed with restoration of the teeth.

Consequences of missing teeth

  • Causes decreased speech clarity.
  • Difficulty in chewing food.
  • Affects the facial symmetry resulting in poor appearance.
  • Decreased confidence level due to missing teeth.
  • Movement of adjacent tooth to the area of missing teeth resulting in spacing between teeth.
  • Food and plaque accumulation in the missing tooth area resulting in weakening of surrounding teeth and gums.

Dental Implant

A dental implant is a titanium post (like a tooth root) that is surgically positioned into the jawbone beneath the gum line that allows your dentist to mount replacement teeth or a bridge into that area.

Technological advancement in Implants has made life-like replacement of teeth
possible. Immediate replacement of front teeth ensures that you do not lose your
smile due to the tooth loss. Implants are a longer lasting and easy to adapt than
dentures and easier to maintain than bridges.100% chewing efficiency can be
restored in IMPLANTS

BENEFITS
Dental Implants have given countless patients many amazing benefits which includes :

  • Natural tooth like feeling
  • Improved appearance
  • Improved comfort
  • Improved speech
  • Better chewing ability resulting in better nutrition
  • Convenience
  • Improved self-esteem

Dental implants are a great value for your investment. Implants look much better, and feel better, than traditional removable bridges, and offer the same force for biting as bridges that are fixed in place. Implants will last your lifetime.!!!

PROCEDURE

  • STAGE ONE

The Implant Procedure
The implant procedure is the same whether one or all teeth are missing. In this example, there is only one missing lower tooth. For the purpose of demonstration we will assume the patient is healthy and is a candidate for this procedure.

Placing the Implant
Involves the placement of specific size and shape implants at strategic locations in the mouth. This is performed under local anesthesia and the entire procedure takes approximately 45 minutes to one hour. Usually the healing is uneventful as the patient is on the prescribed drugs. Implants can also be placed immediately after extractions.

 

The Healing Process – Osseo integration
The healing process takes two to three months. This is the amount of time it usually takes for the implant to become part of the lower jaw, commonly referred to as osseointegration. ( Osseo – bone ; the bone starts forming around the implant and the implant gets integrated into the bone tissue).

 

 

 

 

 

  • STAGE TWO-

Attaching the Abutment
Today’s technologies often include zirconium abutments attached to the implant post, to assure that the new porcelain tooth possesses translucency properties similar to a natural tooth.

Placing the Crown
After impressions are taken a crown is made and shaded to match your existing teeth. The crown is then slipped over the post and cemented.

The Completed Implant
The final prosthetic crown appears as a natural tooth.

Abutment – Aesthetic

  • Esthetic abutments are made from titanium and built to provide an improved appearance
  • Available in different shapes, sizes and angulations.

Cemented Zirconia Implant Crown

Advantages of cemented implant crowns include :

  • compensation of improperly inclined implants
  • easier achievement of passive fit due to the cement layer between the abutment and reconstruction
  • lack of a screw access hole, and thus the presence of an intact occlusal table and easier control of occlusion.

Screw retained PFM Implant Crown Castable

Screw-retained restorations on the other hand have the advantage of more predictable retrievability. They require a minimal amount of interocclusal space and are easier to remove when hygiene maintenance, repairs or surgical interventions are required. Additionally, angulated screw channel solutions have made screw-retained restorations available for a wide range of indications.

  • Conventionally PFM crowns have been made with metal with a ceramic coating to resemble the tooth.
  • Crowns fabricated with latest technology Incredibly thinner margins when compared with conventional PFM.

Screw-retained restorations on the other hand have the advantage of more predictable retrievability. They require a minimal amount of interocclusal space and are easier to remove when hygiene maintenance, repairs or surgical interventions are required. Additionally, angulated screw channel solutions have made screw-retained restorations available for a wide range of indications.

Screw-retained restorations on the other hand have the advantage of more predictable retrievability. They require a minimal amount of interocclusal space and are easier to remove when hygiene maintenance, repairs or surgical interventions are required. Additionally, angulated screw channel solutions have made screw-retained restorations available for a wide.

Temporary implant crown made of acrylic.

All-on-4 acrylic temporary prosthesis per arch

The elderly who have lost all the teeth, may not have enough bone support for 6 implants. In such cases, 4 long implants are used to replace 10-12 teeth in a jaw. This technique is called All-on-4

Titanium Bridge + PFM (CoCr) Teeth (12 teeth)

Using only highly biocompatible materials, such as titanium and ceramics. Conceived to support individual ceramic crowns, simulates perfectly the natural teeth and repairing it (if necessary) becomes extraordinarily easy. It also improves phonetics and chewing functions and it is highly hygienic. Crowns are made of metal ceramic that offers good esthetics and high strength.

Zirconia Bridge + All Ceramic or Zirconia Teeth

Using only highly biocompatible materials, such as titanium and ceramics, allows not only the individual rehabilitation of each tooth but the rehabilitation of the soft tissues (gums) as well. Conceived to support individual ceramic crowns, simulates perfectly the natural teeth and repairing it (if necessary) becomes extraordinarily easy. It also improves phonetics and chewing functions and it is highly hygienic. Teeth are made of Zirconia that has Natural translucency and excellent aesthetics Highly bio-compatible

Bar/ ball attachment abutment

The ball attachment structure is intended to secure a removable prosthesis. The attachment is used in conjunction with a stainless steel cap and an intermediate silicone insert. Removable Prosthetic option which provides high stability at edentulous cases enables facilitating a quick, easy and effective measuring process.

Implant Over denture framework (2 castable abutment, 1 clip attachment)

The complete dentures made with support form existing teeth or implants is called an over denture. The cost is only for the framework, denture charges are additional.

SINUS LIFT – PROCEDURE DIRECT

Maxillary sinus floor augmentation[1] (also termed sinus lift, sinus graft, sinus augmentation or sinus procedure) is a surgical procedure which aims to increase the amount of bone in the posterior maxilla (upper jaw bone), in the area of the premolar and molar teeth, by lifting the lower Schneiderian membrane (sinus membrane) and placing a bone graft. The direct sinus lift involves a large amount of surgical procedures. In the direct sinus lift a small window is opened on the outside of the sinus wall and a small opening is created in the bone, which is also filled with bone material.

COMPLETE DENTURE – Single Arch – Interim

Complete denture that replaces all teeth in the arch fabricated for a temporary use until permanent dentures are made. It is also the product of choice for Immediate Dentures and for Temporary Dentures in Implant patients.

Biofunctional Prosthetic System

Biofunctional Prosthetic System(BPS) is a revolutionary idea in the field of complete denture .BPS can replace your natural teeth functions ,maintaining the same same performance level with superior esthetic results.

  • Advantages of BPS:
    Reproduces the function of natural teeth ,during mastication and speech.
  • High fracture resistance and 25 years clinical approved material.
  • More esthetic compared to other artificial dentures.
  • Highly customerized to fit your needs.
  • BPS identification card .

Denture Relining – BPS

New dentures will typically fit your mouth securely as they have been designed specifically for your gums. As time goes on, your gum tissues will change and the fit of the denture will become more loose and thus more prone to movement inside your mouth. Having the denture professionally relined will help keep the denture secure and functional.

Denture Repair – Single tooth

Repair charges for broken single tooth in a removable denture.

Crowns and Bridges

Dental Bridges
Dental bridges, also known as fixed removable dentures, literally bridge the gap created by one or more missing teeth.

If you have lost a tooth/teeth, bridges can restore your smile, your ability to properly speak and chew and maintain your facial structure. Bridges can also prevent your remaining teeth from shifting out of position.

Why you need a Dental Bridge:

  • To attach a bridge.
  • For disguising your discolored or poorly shaped teeth.
  • Cover an implant.
  • To protect a weak tooth (like a root canal treated tooth)from fracturing.

Types of Dental Bridges:

CROWN Cr Co PFM
When the tooth has lost its structural integrity, it will not have the strength to withstand the forces of chewing and biting. It needs to be restored with a crown that covers the tooth completely as well as resembles the original complete structure of the tooth. It provides the strength the tooth needs for its grinding and chopping functions. They are also designed to look and feel like natural tooth.

Conventionally these crowns have been made with metal with a ceramic coating to resemble the tooth.

CROWN – DMLS CAD/CAM PFM

  • Crowns fabricated with latest technology
  • Incredibly thinner margins when compared with conventional PFM
  • The CAD process detects and eliminates undercut up to 0.2 mm
  • The CAM process facilitates equal space for ceramic binding and avoids ceramic chip-off
  • Long span bridges up to 16 units can be fabricated
  • The fabrication of long span bridges through sintering eliminates rocking
  • The high precision allows easy crown fixing

CROWN AG-PD WITHOUT ALLOY

Crowns fabricated with silver palladium which is resistant to tarnish and corrosion and Good strength

CROWN AU-PT WITHOUT ALLOY CHARGES

  • Crowns fabricated with Gold and Platinum which is resistant to tarnish and corrosion
  • Has good strength

FULL GOLD CROWNS WITHOUT ALLOY CHARGES

  • Crowns completely fabricated with Gold. It has high strength, resistant to tarnish and corrosion, does not cause allergy

METAL CROWN

  • Crowns fabricated with base metals such as Ni-Cr, Cr- Co. it has high strength, economical but compromises aesthetics.
  • They require less tooth structure to be removed for crown preparation.
  • Metal crowns can withstand the biting forces to a greater extent and can resist wearing down of the tooth.

JACKET CROWNS – ACRYLIC

  • Hollow crown made of tooth coloured acrylic resin

TEMPORARY CROWNS – CHAIR SIDE

  • Intermediate crowns made with acrylic chair side to fill the gap until permanent crows are made from lab

METAL POST AND CORE BUILD UP

A post and core (colloquially known as a “post” or “dental post”) is a type of pre-fabricated metallic dental restoration used either to stabilize a weakened tooth or provide an anchor for a crown.

FIBRE POST AND CORE BUILD-UP
Metal prefabricated post systems are being superseded by fibre-reinforced composite resin post systems which offer improved resistance to untreatable fracture of tooth substrate such as vertical root fracture.

CORE BUILD UP – COMPOSITE/ MIRACLE MIX

After the prefabricated post is properly cemented into the post space, a core material, such as dental composite or miracle mix, can be packed around the cemented post. After the material has been cured or has had a chance to set and properly formed into a crown preparation, an impression can be taken for the fabrication of a prosthetic crown.

INLAY / ONLAY – METAL

Indicated for deep cavities where there is severe loss of tooth structure wherein filling material cannot be placed. This is a modified filling – where the measurement of the cavity is taken and the metallic filling is fabricated in the laboratory. This makes the contours of the filling precise to micron.

REMOVABLE PARTIAL DENTURE- BASE

These are dentures used to replace your missing teeth when you have some of your natural teeth left. These can be removed and inserted to mouth at your will.

Flexible denture

Semi-flexible removable partial denture, with full functionality and comfort. It is made with impeccable pressure injection moulding procedure. This jells perfectly with the natural gum tissue, offering better movement and comfort. Offers seamless flexibility. You won’t find metal clasps here, only tissue-coloured clasps that blend with gums. It can even resist a good fall. It also resists stains better than other flexible polymers. Monomer-free.

Cast Partial Denture

  • Replace several tooth in the same quadrant or in both quadrants of the same arch.
  • Ideal for patients who are not interested for fixed bridge or dental implants.
  • Co-Cr alloy frame work – Bego Wironit ® LA. Unbreakable (Strong alloy), Cost effective, Transmits hot and cold sensation, Perfect fit, Longevity

MARYLAND BRIDGE – metal ceramic

The Maryland Bridge is an increasingly popular kind of bridge as very little preparation of the adjacent teeth is required. Maryland bridges are made up of a special ceramic material, which is cemented on to the enamel of the adjacent teeth.

CAST PARTIAL DENTURE –

  • Replace several tooth in the same quadrant or in both quadrants of the same arch
  • Ideal for patients who are not interested for fixed bridge or dental implants
  • Bio-compatible, Light weight (Comfortable fit), High strength, esthetics, Longevity, Chrome- Cobalt Partial Dentures, Free from nickel

Precision attachment Prosthesis –

Precision Attachments are special attachments used for the perfect fit of removable partial dentures. The attachment prosthesis consists of a combination of permanently fixed and removable denture. (semi fixed denture). It is a passive retention mechanism by which the abutment teeth are not exposed to excessive forces.

Removable partial dentures with precision attachments are used for treating terminally involved dental arches (free end saddle). It uses a double tilt retention mechanism thus preventing gravitational and muscular forces from dislodging the partial denture during function. The use of double tilting path of insertion eliminates the torqueing stresses that the most abutments are forced to absorb from conventional retentive mechanisms.

Obturator additional

Sometimes surgeries and trauma leave a defect in the roof of the mouth. Such defects are covered by precise obturators that also aid in speech.